ArticleInternational journal of chronic obstructive pulmonary disease2016
General practitioners' perceptions of COPD treatment: thematic analysis of qualitative interviews.
Article in International journal of chronic obstructive pulmonary disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Understanding Chronic Obstructive Pulmonary Disease Management and Treatment Patterns in General Medicine: Results From the ASTER Study in Italy.International journal of chronic obstructive pulmonary disease · 2025Observational
- Barriers to Pulmonary Rehabilitation.Respiratory care · 2024Article
- Associations between outpatient care and later hospital admissions for patients with chronic obstructive pulmonary disease - a registry study from Norway.BMC health services research · 2024Article
- Perspectives of Patients With Chronic Respiratory Diseases and Medical Professionals on Pulmonary Rehabilitation in Pune, India: Qualitative Analysis.JMIR formative research · 2023Article
- The effects of an innovative GP-physiotherapist partnership in improving COPD management in primary care.BMC primary care · 2023Article
- Caregivers' Experiences With a Web- and Mobile-Based Platform for Children With Medical Complexity and the Role of a Live Platform Coach: Thematic Analysis.JMIR pediatrics and parenting · 2023Article
- One-minute sit-to-stand test as a quick functional test for people with COPD in general practice.NPJ primary care respiratory medicine · 2023Review
- Perspectives and Attitudes of General Practitioners Towards Pharmacological and Non-Pharmacological COPD Management in a Belgian Primary Care Setting: A Qualitative Study.International journal of chronic obstructive pulmonary disease · 2023Article
- Endobronchial valve treatment in chronic obstructive pulmonary disease: A qualitative study of patients' expectations.SAGE open medicine · 2023Article
- Community lung health service design for COPD patients in China by the Breathe Well group.NPJ primary care respiratory medicine · 2022Article
- Article
- Ethical Dilemmas in Physicians' Consultations with COPD Patients.International journal of chronic obstructive pulmonary disease · 2022Article
- Chronic condition clusters and associated disability over time.Journal of multimorbidity and comorbidity · 2022Article
- The complexity of mental health care for people with COPD: a qualitative study of clinicians' perspectives.NPJ primary care respiratory medicine · 2021Article
- Danish general practitioners' management of patients with COPD: a nationwide survey.Scandinavian journal of primary health care · 2020Article
- Disease self-management in patients with moderate COPD: a thematic analysis.European clinical respiratory journal · 2020Article
- COPD management by Swedish general practitioners - baseline results of the PRIMAIR study.Scandinavian journal of primary health care · 2018Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Denmark, the treatment of COPD is mainly managed by general practitioners (GPs). Pulmonary rehabilitation (PR) is available to patients with COPD in the local community by GP referral, but in practice, many patients do not participate in rehabilitation. The aim of our study was to explore 1) GPs' perceptions of their role and responsibility in the rehabilitation of patients with COPD, and 2) GPs' perceptions of how patients manage their COPD.
methodsThe study was based on a qualitative design with semi-structured key-informant interviews with GPs. Investigator triangulation was applied during data generation, and analysis was done using thematic analysis methodology.
resultsOur main findings were that GPs relied on patients themselves to take the initiative to make clinic appointments and on professionals at health centers to provide the PR including consultations on lifestyle changes. The GPs experienced that patients chose to come to the clinic when they were in distress and that patients either declined or had poor adherence to rehabilitation when offered. The GPs were relieved that the health centers had taken over the responsibility of rehabilitation as GPs lacked the resources to discuss rehabilitation and follow up on individual plans.
conclusionOur study suggested a potential self-reinforcing problem with the treatment of COPD being mainly focused on medication rather than on PR. Neither GPs nor patients used a proactive approach. Further, GPs were not fully committed to discuss non-pharmacological treatment and perceived the patients as unmotivated for PR. As such, there is a need for optimizing non-pharmacological treatment of COPD and in particular the referral process to PR.
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